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Organization
LIFE OF GEORGIA CHIROPRACTIC CLINIC
Active
Organization
LIFE OF GEORGIA CHIROPRACTIC CLINIC
Active
Other names
Life of Georgia Chiropractic Clinic, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM O. WALKER D.C. (CHIROPRACTOR)
(706) 733-2211
Entity
Organization
Contact information
Practice address
1914 CENTRAL AVE, SUITE A, AUGUSTA, GA 30904-4126
(706) 733-2211
(706) 733-2271
Mailing address
1914 CENTRAL AVE, SUITE A, AUGUSTA, GA 30904-4126
(706) 733-2211
(706) 733-2271
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
261QR0400X
Rehabilitation Clinic/Center
Primary
1346
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376788406
THIRD PARTY
GA
Enumeration date
10/28/2008
Last updated
09/09/2019
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